MEDICARE: AMY MARIE FLORA MHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1699901785
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MARIE FLORA MHA

Provider Business Mailing Address
First Line	:	6467 HUGHES RIDGE LN
Second Line	:
City	:	LIBERTY TWP
State	:	OH
Zip	:	45011-1254
Country	:	US
Telephone Number	:	931-237-7145
Fax Number	:

Provider Business Practice Location Address
First Line	:	8833 CINCINNATI DAYTON RD STE 105
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-7106
Country	:	US
Telephone Number	:	513-759-9744
Fax Number	:	513-488-1480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	01/07/2020

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